Psych Meds I

  1. What class is Chlorpromazine (thorazine)?
  2. This antipsychotic is one of the first made, it is a strong sedative effect, decreases BP and has moderate EPS risk.
    Chlorpromazine (thorazine)
  3. What class is Fluphenazine (Prolixin)?
  4. These two antipsychotic drugs have a low sedative effect, neutral action on BP, and strong risk of EPS.
    • Fluphenazine (Prolixin)
    • Perphenazine (Trilafon)
  5. What class is Perphenazine (trilafon)?
  6. Is Chlorpromazine typical or Atypical?
  7. Is Fluphenazine typical or atypical?
  8. Is Perphenazine typical or atypical?
  9. What class is Haloperidol (Haldol)?
  10. Is Haldol typical or atypical?
  11. This antipsychotic drug (typical) is the most widely used antipsychotic. 
    It is metabolized in the liver, and has multiple routes (PO, IV, IM)
    It is scheduled and is long acting
  12. Is Loxapine typical or atypical?
  13. What class of drug is Loxapine (Loxitane)?
  14. This antipsychotic is moderately sedating, strong risk of EPS, and HYPOtension is common.
  15. Is Thiothixene (Navane) typiical or atypical?
  16. What class of drug is Thiothixene?
  17. This antipsychotic s/e has low sedation and hypotension.

    No EPS risk mentioned
  18. Typical antipsychotics will cause(some might be both):
    1. Drowsiness or wakefullness
    2. Hypotension or hypertension
    3. Increased HR or decreased HR
    4. Excess urination or urinary retention
    5. Loose stools or constipation
    • 1. Drowsiness
    • 2. Both
    • 3. Increased HR
    • 4. Urinary retention
    • 5. Constipation
  19. T or F: typical antipsychotics can cause EPS
  20. T or F: Atypical meds have a higher chance of EPS than typical
  21. What is used to treat Dystonia?
    It is relieved with anticholinergic meds and IM diphenhydramine (Benadryll) drugs
  22. T or F: The side effect dystonia comes from typical antipsychotics
  23. Akathisia is a side effect of __a___(typical/atypical) drugs and is treated with __b___.
    • a. Typical
    • b. Beta blockers or benzodiazepines
  24. What is a rare and potentially fatal side effect of antipsychotic medications?
    NMS (Neuroleptic Malingnant Syndrome)
  25. List symptoms of NMS
    • muscle rigidity
    • sudden high fever (up to 105)
    • altered LOC
    • fluctuations in BP
    • tachycardia
    • dysrhythmias
    • seizures
    • rhabdomyolysis 
    • ARF
    • respiratory failure
    • coma
    • death
  26. List 4 interventions to treat NMS
    • 1. Immediate withdrawal of antipsychotic medication
    • 2. IV fluids to hydrate
    • 3. Hypothermia blankets
    • 4. administration of antipyretics, benzodiazepines, muscle relaxants
  27. What class and generation of drug can cause blood dyscrasias (agranulocytosis)?
    Typical antipsychotics
  28. T or F: Typical antipsychotics might cause strong photosensitivity
  29. Could Typical antipsychotics lower or raise seizure threshold?
  30. A patient who is taking a typical antipsychotics reports his urine is a brown color. Does this require immediate intervention?
    • No, this is considered harmless.
    • Metabolites can cause the urine to turn a pinkish to brown color
  31. How long does it take to see therapeutic effects of typical antipsychotic drugs?
    • 3-6 weeks
    • Some possible improvement as early as 7-10 days
  32. What is the most common side effect for typical antipsychotic medications?
  33. If EPS is to develop in a patient taking typical antipsychotic drugs, how soon will symptoms show themselves?
    5-30 days after the start of medication
  34. Antiarkinson / Anticholinergic drugs are given to block which NT in the CNS and PNS?
  35. What do these phrases mean in terms of side effects of anticholinergics?
    1. "hot as a hare"
    2. "blind as a bat"
    3. "dry as a bone"
    4. "red as a beet"
    5. "mad as a hen"
    • 1. fever
    • 2. blurred vision
    • 3. dry mouth
    • 4. hot/dry skin
    • 5.
  36. T or F: anticholinergic can decrease sweat production
  37. T or F: anticholinergic can cause decreased GI function
    true: decrease gut motility and urinary retention as well
  38. T or F: Typical antipsychotics are not as likely to cause EPS or tardive dyskinesia compared to atypical drugs
  39. Why is diabetes an increased risk for patients taking atypical antipsychotics?
    Due to increased hunger and altered carbohydrate metabolism in atypical drugs
  40. T or F: when taking atypical antipsychotics, you want to avoid direct sunlight
  41. Why can smoking be harmful for a patient taking atypical antipsychotics?
    smoking increases metabolism of antipsychotic medications
  42. What class of drug is Clozapine (Clozaril)?
    Antipsychotic (atypical)
  43. Is Clozapine typical or atypical?
    Antipsychotic (atypical)
  44. What class of drug is Rsperidone (risperdal)?
    Antipsychotic (atypical)
  45. Is Risperidone typical or atypical?
    Antipsychotic (atypical)
  46. What class of drug is Olanzepine (Zyprexa)?
    Antipsychotic (atypical)
  47. Is olanzepine typical or atypical?
    Antipsychotic (atypical)
  48. What class of drug is Quetiapine (Seroquel)?
    Antipsychotic (atypical)
  49. Is Quietiapine typical or atypical?
    Antipsychotic (atypical)
  50. What class of drug is Paliperidone (Invega)?
    Antipsychotic (atypical)
  51. Is Invega typical or atypical?
    Antipsychotic (atypical)
  52. What class of drug is Lurasidone (Latuda)?
    Antipsychotic (atypical)
  53. Is Lurasidone (Latuda) typical or atypical?
    Antipsychotic (atypical)
  54. What class of drug is Ziprasidone HCL (Geodon)?
    Antipsychotic (atypical)
  55. What class of drug is Aripiprazole (Abilify)?
    Antipsychotic (atypical)
  56. How often does a patient taking atypical antipsychotics need to monitor lab work?
  57. Pinkish to brown discoloration of urine can occur in ____ (typical/atypical) antipsychotics
  58. Which antipsychotic will you monitor someone's WBC?
  59. What are the 3 common anthicholinergics?
    Diphenhydramine, Benztropine, Trihexyphenidyl HCl
  60. Weight gain can occur with ____ typical/atypical antipsychotics
  61. This atypical antipsychotic can cause major weight gain.
    Olanzepine (Zyprexa)
  62. What special consideration for Ziprasidone HCL (Geodon)?
    monitor heart EKG
  63. Which class of drug can cause DM, Hyperlipidemia and CAD?
    Atypical Antipsychotics
  64. What are the two most common Benzodiazepines?
    • Lorazepam (ativan)
    • Clonazepam (Klonopin)
  65. T or F: antidepressants can also be used to treat anxiety
  66. Which 3 antidepresssants are used to treat anxiety?
    • escitalopram
    • venlafaxine
    • mirtazapine
Card Set
Psych Meds I
lecture notes